Plné znění - 241/2006 Sb.

Questionnaire xxx xxx Assessment xx Xxxxxxxxxxxx xxx xxx Xxxxxxxxx xx Xxxxxxxxx Support xx Xxxxxxx of Criminal Xxxx xxxxxxxx to Xxx Xx. 209/1997 Xxxx., xx the xxxxxxxxx xx xxxxxxxxx xxxxxxx xx xxx xxxxxxx xx criminal xxxx xxx xx xxxxxxxx xxxxxxx xxxxx xxxx, as xxxxxxx

Xxxx Xxx/Xxxxx,

Xx xxxxxxxxx xxx xxxxxxxxx xxx with xxxxxxxx xxxxxxxxx in xxxx xxxxxxx xxxxxxxxx. Xxxxxxx, xxxxxxx in xxxx xxxxxxxxxxxxx xx xxxxxxxx for the xxxxx xxxxxxxxxx of xxxx application xxx xxx provision of xxxxxxxxx xxxxxxx xxxxxxxx xx Xxx no. 209/1997. Xxxxx you xxx xxxx cooperation; xx xx xxxxxx xxxxxxxxxxx.

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X. Please legibly xxxx xx the xxxxxxxx data of xxx xxxxxxxxx - x.x. xxx xxxxxx xx xxx criminal xxx xxx xxx xxxxxxxx bodily harm, xx xxx xxxxxxxx xx x person xxx has xxxx xx xxxxxxxxxxx of xxx criminal xxx:

1. Xxxxxxx:

2. Xxxxx name:

3. Xxxx xx xxxxx:

4. Xxxxxxxxx xxxxxxx:

5. Mail xxxxxxxx address (should xx xxxxxx xxxx xxx xxxxxxxxx address, xxxx):

6. Xxxxx Xxxxxx:

7. X-xxxx xxxxxxx:

8. Xxxxxxxxxxx:

XX. Xx the applicant xx xxxxxxxxxxx by xxxxxxx person ("representative") xx xxx xxxxx xx statutory xxxxxxxxxxxxxx (xxx instance, x xxxxx xxxxx xxxxxxxxxxx xx xxx/xxx parent) xx xx the xxxxx xx a xxxxx of attorney, xxxxxx xxxx xx xxx data of xxxx xxxxxxxxxxxxxx:

1. Surname:

2. Xxxxx xxxx:

3. Xxxxxxxxx xx xxxxxxxxxx xxxxxxx:

Xx xxx xxxxxxxxxxxxxx xx xxxxxx xxx application xx xxxxxx of xxx xxxxxxxxx, xxxxxx xxxx xxxxxx a xxxxxxxx authorizing him/her xx xxxxxxxxx the xxxxxxxxx - x xxxx of x xxxxx xx xxxxxxxx (xxx contractual representation) xx x xxxx xx xxx xxxxx xxxxxxxxxxx (xxx xxxxxxxxx xxxxxxxxxxxxxx) or xxx xxxxx equivalent xxxxxxxx.

XXX. Xx xxx applicant xx x xxxxxxxx xx x xxxxxx xxx xxx xxxx xx xxxxxxxxxxx of xxx xxxxxxxxxx xxxxxxxx xxx, please xxxx xx xxx xxxxxxxx xxxx xx the xxxxxxxx:

1. Surname:

2. Xxxxx xxxx:

3. Date xx xxxxx:

4. Date of xxxxx:

5. Last xxxxxxxxx xxxxxxx:

6. Xxxxxxxxxxx:

7. Xxxxxxxxxxxx xx xxx xxxxxxxx xx the xxxxxxxxx (x.x. xxxxxx, xxxxxxxx, xx xxxxxxxxxx xxxxxx xx xxxxxx xxxxxxxxx)

Xx xxx applicant is x survivor of x person who xxxx xx xxxxxxxxxxx xx xxx criminal xxx, xxxxxx attach x xxxx of xxx death xxxxxxxxxxx xxx any documents xxxxxxx that xxx xxxxxxxx supported xx xxx xx obligation xx xxxxxxx xxx xxxxxxxx (xx the xxxx xx x xxxxxx-xxxxx xxxxxxxxxxxx, such xxxxxxxxx xxxxxxx xxxxx xxxxxxxxxxxx or a xxxxx decision on xxx xxxxxxxxxx xx xxxxxxx the xxxxxxxxx; xx xxx xxxx xx xxxxxxx couples, xxxxxx xxxxxx x xxxxxxxx certificate).

Xxxxxx xxxxxxx the xxxx xx xxxxx xxx xxxxx xxx xxxxxxxxx xxx, if xxx xxxxxx learned xxxxx the xxxxxxxxxxxx xx xxx xxxxx xx x xxxxx xxxx, please also xxxxxxx xxx xxxx xxx xxx xxxxxx xx xxxxx the xxxxxx xxxxxxx xx xxxx consequences (e.g., xxx xxxx of xxx xxxxxxx xxxxxx).

XX. Xxxxxx xxxxxxx xxx xxxxxxxx xxxxxxx xxxxxxxxx (x.x. police, xxxxxx xxxxxxxxxx'x office, xxxxx) xxxxx most xxxxxxxx xxxxxxxxx xxxxxxxx xxxxxxxxxxx. Xxxxx xxx reference xxxxxx xx xxx xxxx xxxxxxx to xxx xxxxxxxxxx xxxxxxxxxxx.

Xx xxxxxxxxx, please xxxxxx xxx latest xxxxxxxx xx xxx xxxxxxxxxxxxxx xxxxxxxx justice xxxxxxxxx xxxxx xxxxx indicate xxx xxxxx xx xxx xxxxxxxxxx xxxxxxxxxxx (x.x. xxxxxxxxxx xx xxx xxxxxxxxxxxxxxx xx xxxxxxxx xxxxxxxxxxx, xxxx xx the xxxxxxxxxx, xxxxxxxxx - final xx xxxxxxxxx).

Xxxxxxxxx xx xxx provisions xx §8 of Xxx xx. 209/1997, xxx amount xx xxxxxxxxx xxxxxxx xxx xx reduced xx xxxxxxxx depending xx xxxxxxx xxx xxxxxx xxx xxxx xxx xx xxx xxxxx xxxxxxxx xx xxxxxxx x xxxxx xxx xxxxxxxxxxxx xxxxxxx xxx xxxxxxxx xx xxx xxxxx xxxxxx xxxxxxxxxxx xxx the xxxx xxxxxxxx. Do xxx xxxx xx xxxx xxxx xx the xxxxxxxx has xxx xxxx identified.

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Fill xx xxxx XxXx if xxx xxxxxxxxx xx x xxxxxxxx xx xx xxxxxxxxxx xxx xxx died xx xxxxxxxxxxx of xxx xxxxxxxxx crime.

1. Xxx xxx x xxxxx, xxxxxx xx xxxxx xx xxx xxxxxx xxx xxxx xx consequence xx xxx xxxxxxxx offence?

2. Xxx you xxxx xx a xxxxxx xxxxxxxxx with xxx xxxxxxxx xxxxxx prior xx xxx xxxxxxxxxx xx xxx xxxxx?

3. Xxxx xxx x xxxxxxxxx xx xxx xxxxxx xx xxx xxx xxxxxxxx obliged xx support you?

4. Xx xxx other xxxxxxx xxxx xxx xxxxxxxxxx described xx xxxxxxx 1 xx 3? Xxxxxx xxxx xxxxx xxxxxx, if xxxxx xx xxx.

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Xxxxxxxxx xx xxx xxxxxxxxxx xx §2, xxxxxxx 2 xx Xxx xx. 209/1997, x xxxxxx xxx is x xxxxxxxx xx x victim who xxxx in xxxxxxxxxxx xx x xxxxxxxx xxx is xxxxxxxxxx xx xx x xxxxxx xx xx xx xxx xx x xxxxxx, xxxxxx xx xxxxx xx xxx deceased xxx xxxxx with xxx xx her xx xxx same xxxxxxxxx xx xx xxx xxxxxx was x xxxxxxxxx xx xxx xxxxxxxx xx xxx xxxxxxxx xxx required xx xxxxxxx xxx xxxxxx.

Xx xxx applicant xx xxx victim xx x crime xxx xxx xxxxxxxx xxxxxx harm, please xxxx xx xxxxx XX - XXX.

Xxxxxx attach x point-based xxxxxxxxxx xx pain and xxxxxxxxx xxxxxxxx xx Xxxxxx Xx. 440/2001 Xxxx. Xxx xxxxxxxxxx xxxxxxxx xxxxxx be xxxxxxxx xxxx xxx xxxxxxxxx xxxxxxxxxxx for xxx xxxxxx'x xxxxxxxxx. Xxxx xxxxxxx report xxxx contain x xxxxx-xxxxx xxxxxxxxxx xx xxx xxx suffered xxx x xxxxx-xxxxx xxxxxxxxxx xx xxx xxxxxxxx xx xxx xxxxxx'x xxxxxx position. Xxxxxx xxxx xx xxxx xxxx only xxx xxxxx-xxxxx assessment xx the xxx xxxxxxxx xx xxxxxxxx xxx xxx xxxxxxxx xx Act no. 209/1997. Xxxxxxxxx xx xxx provisions xx §6, section 2 xx Xxx xx. 209/1997, xx xxxxxxxxx xxxxxxx xxxx xx xxxxxxxx xxxxxx xxx xxxxx xxxxxxxxxx xx xxx xxxx xxxxxxxx xx xx xxxxx 100 xxxxxx.

The xxxxxx xxx xxxxxx xxxx xxx financial xxxxxxx xx the xxxxxx xx XXX 25,000 or xx xxxxxx xxxxx to xxx xxxxxx xxxxx xx xxxxxxx treatment xxx xxxx income (§7, xxxxxxx 1, xxxxxx x xx Xxx No. 209/1997 Xxxx.). xx xxx xxxxxx xx xxxxx xxx x lump xxx xxxxxxx, xxxxx xx no xxxx xx xxxx xx xxxxx XXX - XxX.

Xxxx includes xxx xxxxxxxx xxx xxxxxxxxxx, sanitary equipment, xxxxxxxxxxxxxx xxxxx, xxxxxx xx xxxxxxxxx xx xxxx xxx in xxx xxxx or xxxx xxxxxxx treatment, xxxxxxxxx transportation xxxxx xxx., provided xxxx xxxxx have xxx xxxx xxxx xx xx insurance xxxxxxx. xx such xxxxxxxx xxx xxx xxxxxx xx xxxxxxxxxxx evidence, xxx Xxxxxxxx xx Xxxxxxx xxx xxx xxxx them xxxx xxxxxxxxxxxxx.

Xxxxxx attach xxx xxxxxxxxx xxxxxxxxxx xxxx xxxxx xx xxx application.

If xxx xxxxxxxxx xx xx xxxxxxxx, these documents xxxxx xxxxxxx a xxxxxxxxx xxxx xxx/xxx xxxxxxxx describing the xxxxxxx xxxxxx according xx §351 et. xxx. of Act xx. 262/2006, the Xxxxx Labour Xxxx, xx xxxxxxx. lf xxx xxxxxxxxx xx xxxx-xxxxxxxx, xxxx xxxxxxxx xxxxx be a xxxx of xxx/xxx xxxx xxxxxx tax xxxxxx. xx the xxxxxxxxx is x xxxxxxx person xxx xx xxxx to xxxxx his/her xxxxxxxx xxxxxx standing, please xxxxxx a xxxxxxxx xxxxxxxxxx xxx xxxxxx xx xxx xxxxxxxxxx xxxxxxx. xx xxx xxx reason the xxxxxxxxx'x xxxxxx situation xxxxxx xx xxxxxx, xx xxxxxxxxxxx cases xx xxxxxxxxx may xx attached.

My xxxxxx xxxxxxxx xxx xxxx xxxxxxxx xx x result xx xxx criminal act xx xxxxx X xxx a victim. X xxxx xxx xxx xxxx xxxxxxxxxxx xxx xxx harm 1 xxxx xxxxxxxx xx a result xx xxx xxxxxxxx xxx.

X hereby affirm xxxx X have xxx xxxxxx xxx xxxxx xxx xxxxxxxxx xxxxxxx or xxx xxxxxxx xxxxx xxx xxxxxxxxxxxx xxx xxx xxxx suffered xx x xxxxxx xx xxx criminal act xx xxx xxxxxxx xxxxx than the Xxxxx Xxxxxxxx.

X xxxxxxxxxxx xxxx according xx §12 of Xxx Xx. 209/1997 Xxxx., xx xxx xxxxxxxxx xx xxxxxxxxx xxxxxxx xxx xxx victims xx criminal xxxx xxx xx amending xxxxxxx xxxxx xxxx, xx xxxxxxx, X xx xxxxxxx to xxxxxxxxx the Xxxxxxxx xx Xxxxxxx xxx xxxxxx xxxxxxxx xx xxxxxxxxxxxx xxx xxx xxxx xxxxxxxx, xx xx xxx amount xx the xxxxxxxxx xxxxxxx, within xxxx xxxxx xxxx xxx xxxx xx receiving xxx xxxxxxx xxxxxxx. X xxxx xxxxxxxxxxx xxxx, after xxx xxxxx xx xxx xxxx-xxxx xxxxxx, I xxx file xx xxxxxxxxxxx asking the Xxxxxxxx xx Xxxxxxx xx waive xxx xxxxx'x xxxxx xxx xxx xxxxxx xx xxx xxxxxxxx xxxxxxx, xxxxxx xxxx x xxxxxx xx xxxx xxxxxxxx xx xx xxxxxx xxxxxxxx, xxx xxxxx xxxxxx xx xxxx xxxxxxxx xxx xxx xxxxxx xx xxxxxxxxxxxx xxxxxxxx.

X xxxx xxxxxxxxxxx xxxx xxxxxxxxxxx xxxxxx xxxxx or xxxxxxxxxx xxxxxxxxxxx xx xxxxxxxxxxx information xxx xxx xxxxxxxx xx xxxxxxxxxxxxx xxxxxxx xxxxxxxx xxx xxxxxxxxx an xxxxxxx xxxxxxxx to §21, section 1, xxxxxx x) xx Xxx no. 200/1990 Xxxx., xx offences xx xxxxxxx.

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Xxxxxxxxx xx xxx xxxxxxxxx xx xxx/xxx xxxxxxxxxxxxxx

- Xxxx xxxxxxx xx the xxxxxxxxxxx for the xxxxxxxxx xx xxxxxxxxx xxxxxxx xxxxxxxx xx Xxx Xx. 209/1997, xxx Xxxxxxxx xx Xxxxxxx xxxxx confirm xxxxxxx and xxxxxx xx a xxxxxx xxxxxx. Xxxxxxxxxxxx, xxx Xxxxxxxx xxxxx initiate xx xxxxxxxxxxxxx xxxx xxx xxxxxx or x similar authority xx per the xxxxxxxx xxxxxxx xx xxx xxxx. Within xxxxx months xxxx xxx xxxx xx xxx xxxxxxx xx xxx xxxxxxxxxxx xxx xxxxxxxxxx of xxx xxxxxxxxx xxxxxxxxx, xxx Xxxxxxxx xxxxx xxxxxx xxxxxxx xxx xxxxxxx xx xxxxxx xxx xxxxxxxxx xx the xxxxxxx xxx xxxx xxxxxxx has xxxx xxxxxxxx.

- The xxxxxxxxx xxxxx xx xxxxxxxxxx x xxxxxx as xxx Act Xx. 209/1997 Xxxx. only xx xx/xxx has xxxxxxxx xxxxxx xxxx xx x xxxxxx xx xxx xxxxxxxxxx xx x xxxxx. X xxxxxxxxx but xxx the ohly xxxxxxxxx xxx xxx xxxxxx'x xxxxxxx of xxxxxxxx xxxxxxx shall xx the amount xx the xxxxx-xxxxx xxxxxxxxxx of xxx xxx suffercd (xxx xxx xxxxxxxxx xx xxxxxx xxxxxxxx), which xxxx xx at xxxxx 100 xxxxxx. Xxxxxxxxx xx x xxxxxx who xxx xxxx xx xxxxxxxxxxx xx x xxxxx xxxxx be considered xx xx a xxxxxx xx xxx xxxxxxxx is x xxxxxx, xxxxxx xx xxxxx xx xxx xxxxxxxx xxx xxx xxxxxxxx xxxxxx x xxxxxxxxx xxxx the xxxxxxxx at xxx xxxx of his/her xxxxx xx xx xxx deceased supported xx was required xx support the xxxxxxxx.

- Act No. 209/1997 Xxxx. xx xxx xxxxxxxxx of xxxxxxxxx xxxxxxx xx xxxxxxx of criminal xxxx xxxxxxxxxx a xxxxxxxxxx term of 1 year xxxx xxx xxxx xx xxxxx xxx xxxxxx xxxxxxx xx xxx xxxx caused xx xxx crime. If xxxx xxxx xxxx xxx xxxxxxxx xxxx xxx xxxx of xxx commitment xx xxx xxxxx, xxx xxxxxx shall xxxxxxx xxxxxxxx xx the xxxx xx xxxxx xx/xxx xxxxxxx of xxx consequences. Xxx Xxxxxxxx xx Xxxxxxx xxxxxx meet an xxxxxxxxxxx xxx xxx xxxxxxxxx xx xxxxxxxxx xxxxxxx xxxxxxxx anytime xxxxx the lapse xx the xxxxxxxxxxxxxx xxxxxx.

- Xxxxxxxxx xxxxxxx xx applied for xx a victim xxx has xxxxxxxx xxxxxx xxxx as x result xx xxx xxxxxxxxxx xx x xxxxx may xx xx the xxxx xx a xxxx xxx xxxxxxxxx xx XXX 25,000 xx xx amount xxxxx xx lost xxxxxx xx the xxxxx xx medical xxxxxxxxx as xxxxxx xx the victim, xxxxxxx by any xxxxxx xxxxxxxxxx xxxx xx xxx xxxxxx xx compensation xxx xxx xxxx xxxxxxxx. Xxx xxxxx amount xx xxxx xxxxxxx xxxx xxx xxxxxx XXX 150,000. Xx, xxxxx xxx xxxxxxxxx xx support, xxx xxxxxx xxxxxx that xxx xxxx xxxxxxxx xxxxxxx xxx xxxxxx xxxxxxxx, xxx xxxxxx xxx receive additional xxxxxxx up xx xxx xxxxxx of XXX 150,000 xx xx/xxx applies xxx xx xxxxxx xxx xxxxxxxxxxxxxx xxxxxx xx xxxx (x.x., 1 xxxx from xxx xxxx on xxxxx xxx xxxxxx xxxxxxx xx xxx xxxx xxxxxx xx xxx xxxxx); xx xxxx xxxx, xxx xxxxxxx xxxxxxx xxxx xxxx xx xxxxx xxxx xxxxxxx.

- An xxxxxxxxxx xxx xx a xxxxxxxx of x xxxxxx who has xxxx xx x xxxxxx xx xxx xxxxxxxxxx of a xxxxx (a xxxxxx, xxxxxx xx xxxxx xx the deceased xxxxxx in x xxxxxx xxxxxxxxx with xxx deceased xx xxx time xx xxx/xxx xxxxx or xxxxxxxxx by xx xxxxxxxx to xx xxxxxxxxx xx the xxxxxxxx) shall be xxxxxxxx with x xxxx sum xxxxxxxxx xx CZK 150,000. Xxx total xxxxxx xxxxxxxx xx xxxxxxxxx xxxxxxx xxxxx not xxxxxx CZK 450,000; xxxxxx xxx number xx victims xxxxxx xxxxx, xxx xxxxxx xxxxxxxx xxx victim xxxxx be reduced xxxxxxxxxxx.

- Xxx No. 209/1997 Xxxx. does xxx xxxxxxx xxx xxxxxxxxx xx xxx xxxxxxxxx xxxxxxxxx xx xxxxxxxxx xx xxxxx xxxxxxxx xxxxxxx xx xxxxxxxxxx xxxxxxxxx insurance. Xx matters xxxxxxx xx xxxxxxx accidents, xxxxxxxxxxxx for xxxxxxxxx xxxxxxxx xxxxxx thus xx xxxxxxxx to xxx xxxxxxxx xxxxxxxxx xxxx xxxxxxxxx xxxxxxxxx. Xxxx xx isolated xxxxx, xx xxxx xx exceptional xxxxxxxxxxxxx, xxx xx xxxxxxxxxxx xxx xxx xxxxxxxxx xx financial xxxxxxx xx filed xxxx xxx Xxxxxxxx of Xxxxxxx.

- Xxxxxx xxxx xx xxxx xxxx xxx available documents xxx xxxxxxxxxxxxx xxxxxxxx xxx xxx xxxxxxxxxx xxxxx xxxx xx xxxxxxxx xx xxx xxxxxxxxxxx. Xx the xxxxxxxxx fails xx xx xx, the Xxxxxxxx of Xxxxxxx xxxxxx xxxxxxxx process xxx application. Should xxx xxxxxxxxx fail xx deliver xxx xxxx xxxxxxxxx xxx xxxxxxxxxxxxx even xxxxxx x xxxxxxxxxxxxx xxxxxxxx, xxxx xxxx xxx xxxxxxx x xxxxxxxx xx xxxxxxxx xxx xxxxxxx xx per Xxx Xx. 209/1997 Xxxx. Xxxx xxxxx xxx, xxxxxxx, xxxxxxxxx xxx filing of xxxxxxx xxxxxxxxxxx.

- Xxxxxx xxxx xx mind xxxx the xxxxxxxxx xxxxx xx xxxxxxx xx xxxxxx any xxxxxxxxx xxxxxx xxxxxxxx xx compensation xxx xxxx (xxxx xxx xxxxxxxx, xxxxxxxx xxx.) xx xxx xxxxxxx xx xxx Ministry xx Xxxxxxx xx xx xxx xxxxxx xx xxx xxxxxxx xxxxxxxx. Xxxx xxxxxxxxxx xxxx not xxxxx xx xx/xxx xxx xxx xxxxxxxx any xxxxxxxxxxxx. Xx xx xxxxxxxxx by xxx xxxxxx xx an xxxxxxxxxxx, xxx Xxxxxxxx xx Xxxxxxx xxx xxxxx the state's xxxxx xx xxxxx xxx xxxxxx xx xxx financial support xxxxxxxx xxxxx the xxxxx xx xxx xxxx-xxxx xxxx, xxxxxxxx xxxx x xxxxxx xx xxxxxxxxx xx xxx xxxxxx'x xxxxxx xxxxxxxx, xxx total xxxxxx of xxx xxxx suffered xxx xxx xxxxxx xx xxxxxxxxxxxx paid to xxx xxxxxx.

Vážený pán/pani/slečna

Ospravedlňujeme xx, xx v xxxxxxxx, x xxxxxx xx xxxxxxxxxx, sme xxxxxx Xxx obťažovať xxxxxxxxxxxx xxxxxxxx. X xxxxxx rýchleho xxxxxxxxx Xxxxx xxxxxxxx x xxxxxxxxxxx xxxxxxxx xxxxxx xxxxxxx xxxxxxxx činnosti xxxľx xxxxxx č. 209/1997 Zb., xx xxxx xxxxxxxxx xxxxx dotazníku xxxxxxxxxx. Xxxxxxxx Xxx xx xxxxxxxxxx, xxxxx xx xxxxx xxxxxx.

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X. Xxxxxx, xxxxxxx xxxxxxľxx xxxxxx xxxxx o žiadateľovi - obeti xxxxxxxxx xxxx, xxxxxx xxôxxxxxx xxxx xx xxxxxx, xxxxx xxxxx pozostalej xx xxxxx, ktorá x xôxxxxxx trestného xxxx xxxxxxx:

1. Xxxxxxxxxx:

2. Xxxx:

3. Dátum xxxxxxxxx:

4. Xxxxxx trvalého pobytu:

5. Xxxxxxxxxxxxxx xxxxxx (x xxxxxxx, xx xx xxxx xx xxxxxx xxxxxxxx xxxxxxxx):

6. Telefón:

7. X-Xxxx:

8. Xxxxxxxxxx:

XX. Xx xxxxxxxľx xxxxxxxxx xxx xxxxx (zástupca) xx xxxxxxx zákonného xxxxxxxxxx (xxxx. maloleté xxxxx xxxxxx xxxxxxx) xxxxx xx xxxxxxx xxxxxx x plnej xxxx, xxxxxxx údaje o xxxxxxxxxx:

1. Xxxxxxxxxx:

2. Meno:

3. Xxxxxxxxxxxxxx xxxxxx:

Xx xxxxxxx xx inú xxxxx, xxxx xx xxxxxxx xxxxxxxxxx, ktorá xxxxxxxxxx xxxxxxx. Preto k xxxxxxxx priložte xxxxx xxxxx xxxx (xxx xxxxxxxx zastúpení) xxxxx xxxxx xxxxxxx listu (x xxxxxxx xxxxxxxxx xxxxxxxxxx) xxxxx xxx xxxxxxx xxxxxxx.

XXX. Ak xxxxxxxľ xxxxx xxxxx xxxxxxxxx po xxxxx, xxxxx v dôsledku xxxxxxxxx činu zomrela, xxxxxxx, xxxxxx, aj xxxxx x xxxxxxx xxxxx:

1. Xxxxxxxxxx:

2. Xxxx:

3. Xxxxx xxxxxxxxx:

4. Xxxxx xxxxxx:

5. Xxxxxxxx xxxxxxxx:

7. Xxxxxxxxxx:

8. X akom xxxxxx xxxx xxxxxxx xxxxx v xôxxxxxx xxxxxxxxx xxxx k xxxxx xxxxxxxľx (otec, xxxxx, xxxxx žijúca x xxxxxxxxx xxxxxxxxxx):

Xx xx xxxxxxxľ osobou xxxxxxxxxx xx xxxxx, xxxxx v dôsledku xxxxxxxxx xxxx xxxxxxx, x xxxxxxxx xx xxxx xxxxxxxx xxxxx xxxxxxxx xxxxx x xxxxxxx, ktoré xxxxxxxxx xxxxxxxxxx, xx xxxxxx xxxxx vyživovala xxxxxxxxx xxxxx alebo xxxx xxxxxxxxx ju xxxxxxxxx (xx vzťahu xxxxx - xxxxx xôxxx x xxxxx xxxx xxxxx xxxxxxxxxxx xxxx x xxxxxxxxxxx xxxxxxxxxx, xxx xxxxxxxx xxxxx xxxxxxxx bude sobášny xxxx x xxx.)

XX. Xxxxxx, xx xxxxxxx xxxxxxxx xxxxxxx pomoc xxxxxxxxxxxxxxx pošty alebo xxxxxxxx na xxxxxxx xxxx; v xxxxx xxxxxxx xxxxxxx xxxxxxx xxxxx Vášho xxxx.

X. Xxxxxx dátum, kedy xx xxxx dozvedela x xxxxx xxôxxxxxxx xxxxxxxx xxxxx.

Xxxxxx xxxxx xxxxxxxxx trestného xxxx x xx xx xxxx o škode xxx xxôxxxxxxx dozvedela xx xxxxôx, xxxxxx xxxx x ako (xxxxxxxxx z lekárskej xxxxxx - dátum xxx xxxxxxxxxx).

XX. Xxxxxxx xxxxx xxxxx x xxxxxxxx xxxxxx (xxxxxxxxx xxxxx, xxxxxx xxxxxxxxxxxxxx, xxx), ktorý xxxxxxxxx xxxxx konanie x xxxxxxxx xxxx. Uveďte xx spisovú xxxxxx, xxx xxxxxx prebieha xxxxxxxxxxxx.

Xx xxxx x xxxxxxxxxx posledné rozhodnutie xxxxxx činného x xxxxxxxx konaní, xxxxx xxxx xxxxxxxxx o xxx, v akom xxxxxx xx xxx xxxxxxxx (xxxx. uznesenie x xxxxxxxx xxxxxxxxx xxxxxxxx, xxxx xxxxxxxx, xxxxxxxx - x xxxxxxxxxxxxx), xxxxxxxx xx x xxxxxxxx.

XXX. Xxxxxx, xxxx spôsobom ste xxxxxxxxx xxxxx xx xxxxxxx škody xx xxxxxxxľx xxxxx inej xxxxx, ktorá zodpovedá xx xxxxx.

Xxxľx xxxxxxxxxxx §8 xxxxxx x. 209/1997 (Zb)., peňažitá xxxxx xx xôxx xxxxxx xxxxx xx xxxxxxxx s xxxxxxxxxxxxx xx to, či xxxx xxxxxxx všetky xxxxxxx prostriedky na xxxxxxxxxx nároku xx xxxxxxx škody od xxxxxxxľx xxxxx xxxx xxxxx, xxxxx xxxxxxxxx xx škodu. Tento xxx xxxxxxxxxxx, xx xxxxxxxľx xxxxxxxxx xxxx xxxxxxxxx.

Xxx XXXX. Xxxxxxx, xx žiadateľ xx xxxxxxxxxx xx xxxxx, xxxxx x xôxxxxxx xxxxxxxxx činu xxxxxxx.

XXXX. Xxxxxx, xx xxx xxxxxxx osobou, xxxxx xxľxx xxxxxxxxx xxxxxxx x §2 xxxx. 2 xxxxxx č. 209/1997 Xx., xxxxxxxx xxľxx osôb xxľxx xxxxx xxxxxxxxx, xx xx Xxx xxxxx xxxxxxxxxxx známe.

1. Xxxx xxx xxxxxxx, manželom xxxxx dieťaťom osoby, xxxxx zomrela v xôxxxxxx trestného xxxx?

2. Xxxx xxx x xxxxxx trestného činu xxxx xxxxxxxxx xxxxxxxxx xxxx x xxxxxxxxx xxxxxxxxxx?

3. Xxxxxxxxxxx Xxx xxxx xxxxxxxxx xxxx xxxxxx, či bola x xxxx povinná?

4. Xxľxxxx další osoby xxxxxxxxxxx xxxxxxxxx 1 xx 3? Xxxxxx xxx xxxxx, ak Xxx xx xxxxx.

Xxxľx xxxxxxxxxxx §2 xxxx. 2 xxxxxx x. 209/1997 Xx. sa xx obeť xxxxxxxx xxxxx xxxxxxxxx xx xxxxx, xxxxx v xôxxxxxx trestného xxxx xxxxxxx, xx je xxxxxxx, manželom xxxxx xxxxxxxx xxxxxxxxx x xxxxxxx x xxxx xxxx xxxxx x xxx žila v xxxxxxxxxx xxxxx osoba, xxxxxx xxxxxx poskytoval xxxxx xxx povinný xxxxxxxxxx xxxxxx.

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Xxxx IX. xx XXX. Xxxxxxx, xx xx xxxxxxxľ xxxx xxxxxx xxxxxxxxx xxxx a xxxx xx xxôxxxxxx ujma xx zdraví.

IX. Xxxxxx xxxxx, kedy sa xxxxxxxx xxxxxxxx, respektíve xxxx xx xxxxxxxx xxxxxxxx neschopnosť.

X. Xxxxxxx xxxxx xxxxxxxx xxxxxxxxxxx xx xxxxxx xxxx:

X xxxxxxxx xx xxxx xxxxxxxx xxxxxx xxxxxxxxxxx xx bolesť podľa xxxxxxxx č. 440/2001 Zb., xxxxx xxxxxxxľ získa xx xxxxxx, ktorý ho xxxxxxxxx. Xxxxx lekársky xxxxxxx xxxx xxxxxxxxx xxxxxx xxxxxxxxxx xxxxxxxxx xxxxxxx x xxxxxx xxxxxxxxxx sťaženia spoločenského xxxxxxxxxx. Xxxxxxxxxxx, xx xxx xxxxx zákona č. 209/1997 Zb. xx xxxxxxxxxx xxx xxxxxx ohodnotenie xxxxxxxxx xxxxxxx. Podľa xxxxxxxxxxx §6 odst. 2 xxxxxx x. 209/1997 Zb. xxxxxxx xxxxxxxxx' xxxxxxx xxxxx, xx xxxxxx ohodnotenie xxxxxxxxx bolesti xxxxxxxxxx xxxxxxxx 100 bodov.

XI. Xxxxxx, či xxxxxxx x xxxxxxxxxxx xxxxxxxx xxxxxx xx výške xxxxxxxxx xxxxxxx 25 000.- Xx xxxxx xx xxxxxxxx xxxxx xxxxxx xxxxxxx a xxxxxxxx xx xxxxxxxx.

Xxxľx ustanovenia §7 odst. 1 xxxx. a) xxxxxx x. 209/1997 Xx. xx xxxxxxx xxxxx xxxxx xxxxxxxxx peňažnú xxxxx vo xxxxx xxxxxxxxx xxxx 25&xxxx;000.- Xx, xxxxx xx xxxxx xxxxxxxxxxxxxx xxxxxxxxxxx xxxxxxxx na xxxxxxxx x ušlému xxxxxxx. Xx xx xxxxxxxxxx xxxxxx o peňažnú xxxxx xx xxxxx xxxxxxxxx čiastky, xxxxxxxx xx xxxxxxxxx xxxx XXX. - XXX. xxxxx xxxxxxxxx.

XXX. Xxxxxxx xxxxxxx x xxxxxxxx xxxxxx:

Xxx x xxxxxxx xx lieky, xxxxxxxxxxxx xxxôxxx, xxxxxxx xx xxxxxxxxxxxxx, pribranie cudzej xxxxx xx pomoc x xxxxxxxxxx či xxxxxxxxxx, xxxxxxx náklady xx dopravu, x xxx. xxx xxxxxxxxxx, xx tieto náklady xxxxxxxxx xxxxxxxxx. Xx xxxxxxx xxxxxxx sa xxxxx doložiť, xxxx xx xx xxxxxxxxxxxx xxxxxxxxxxxxxx xxxxxx mócť xxxx zreteľ.

XIII. Xxxxxxx xxxxxxxxx xxxxxx xxxxxxxľx xxxx a xx xxxxxx xxxx na xxxxxx xxôxxxxxxx xxxxxxxx xxxxx.

X xxxxxxxx xxxxxxxx xxxxxxx, xxxxx potvrdzujú xxxxxxx xxxxxxxxxxx.

X xxxxxxx, xx xxxxxxxľ xx x xxxxxxxxxxxxxx xxxxxx, xôxxx x xxxxxxxxxx xxxxxxxxxxxxľx o priemernom xxxxxxx xxxľx §351 x xxxx. xxxxxx x. 262/2006 Zb., xxxxxxxx práce, v xxxxx xxxxxxxxxx xxxxxxxxx. Xx xx xxxxxxxľ xxxxxx xxxxxxxxxx xxxxxxxxx xxxxxx, xxxxx xxxxxxxx xxxx napríklad xxxx xxxxxxxxxx xxxxxxxx xxxxxxxxx. Xx žiadateľ xxxxxx xxxxxxxx xôxxxxxx, dokladom, xxxxx xôxx xxxxxxx xxxxxxxx xxxxxxxx xxxxxxxx, xxxx xxxxxxxxxx x xxxxx starobného xôxxxxxx. X xxxxxxx, xx x xxxxxxxx xxxxxxxxx xôxxxx xxxxxxx xxxxxxx xxxxxxxxx xxxxxx xxxxxxxľx, x krajnom prípade xx možné xxxxxxxx xxxxxxxxxx x xxxx xxxxxxx vyhlásením.

XIV. Xxxxxx xxxxx nemocenských xxxxx (xxxxxxxxxxx dôchodku) x xxxx, odkedy xxx xxxxxxxľ poberá, či xxxxxxx xx xxxxxx xxxx xx xxxxxx, xxôxxxxxxx xxxxxxxx xxxxx.

X xxxxxxxx xxxxxxxx xxxxxxxxxx xxxxxxxxxxxxľx alebo xxxxxxxxx x výške nemocenských xxxxx. X xxxxxxx, xx x xôxxxxxx xxxxx xx xxxxxx xxôxxxxxxx xxxxxxxx xxxxx Xxx xxxxxxxx xxxxxxxxx xôxxxxxx, uveďte x xxxxxxx xxxx xxxxx.

Xxxx xxxxxxxxx xxxxxx xx xxxx, xx xxxxxxxx xxxxx, xxxxxxx xxx bol(a) xxxxxx, xx xxxx sociálna xxxxxxxx xxxxxxxx. Xxxxx, xxxxx xx xxxxx xxôxxxxx, xxxxxľ xxxxxx xxxxxxxx.

Xxxxxx xxxxxxxxxx, xx xxxxx na xxxxxxx xxxxx či obdobný xxxxx xx xxxxxxxxxxx xxxx xxôxxxxxxx xxxxxxxx xxxxx xxx xxxxxxxxxx(x) x xxxxxxx xxxx xxxxx ako v Xxxxxx (Slovenskej) xxxxxxxxx.

Xxxxxx xx xxxxxxx, xx xx xxxľx ust. §12 zákona x. 209/1997 Zb., x xxxxxxxxxx peňažnej xxxxxx xxxxxxx xxxxxxxx činnosti x x xxxxx x x xxxxxxxx xxxxxxxxxx zákonov, x xxxxx neskorších xxxxxxxxx, xxxxxx xxxxxxxxx xx xxxxxxx rokov xxx xxx, xxx mi xxxxxxxx xxxxx, xxxxxxx xx xxxx Xxxxxxxxxxxx xxxxxxxxxxxxxx čiastky, xxxxx xxx xxxxxx(x) ako xxxxxxx xxxxx, x xx až xx xxxxx poskytnutej xxxxxx. Xxxxxxx s xxx xxxxxx xx xxxxxxx, xx xx xxxxxxxx xxxxxxxxxx xäxxxxxxx xxxx xôxxx xxxxxxxx Xxxxxxxxxxxx xxxxxxxxxxxxxx, xxx xx x xxxx štátu xxxxxx xxxxx xx xxxxxxxx xxxxxxxxxxx xxxxxx, xx xxxx sociálna xxxxxxxx xxxx taký xxxxxx xxôxxxxxxxx, xxxxxxx xxxxx xxxxx, ktorú xx xxôxxxxxx x xxxxx náhrady, xxxxx xxx xxxxxx(x).

Xxxxxx tiež xx xxxxxxx, xx xxxxxxxxx xxxxxxxx xxxxxxxxxxx xxxxx xxxxxxxxx xxxxx xx jeho xxxxxxxxx xx xxxxxx xxxxxxxx xxxxxxxxxxxx výhody, xx xôxxx dopustiť xxxxxxxxxx xxxľx §21 odst. 1 písm. x) xxxxxx č. 200/1990 Xx., x xxxxxxxxxxxx, x znení xxxxxxxxxx xxxxxxxxx.

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xxxxxx žiadateľa xxxxx xxxxxxxx

- Ministerstvo xxxxxxxxxxxxxx Xxxxx republiky po xxxxxxx žiadosti o xxxxxxxxxxx peňažnej xxxxxx xxxľx zákona č. 209/1997 Zb. xxxxxxx xxx príjem x xxxxx poradové xxxxx. Potom xxxx xxxxxxxxxx xx xxxxxxx xx na xxxx xxxxxxxx xxxxxx xxxľx xxxxxxxxxxx xxxxxxxxx prípadu. Xx xxxxx mesiacov xx podaní žiadosti x xxxxxxxxxx xxxxxxxxxx xxxxxxxx xxx pomoc xxxxxxxx xxxxx xxxxxxxľxxx xxxxxx xôxxxx, prečo xxxxx xxxxxxx xxxxxxxx.

- X xxxxxx xxxxxx č. 209/1997 Zb. xxxx xxxxxxxľ xxxxxxxxxx xx xxxx xxx x prípade, xx mu x xôxxxxxx xxxxxxxxx xxxx xxxx xxôxxxxxx xxxxxxxxxx xxxxxxx. Xxxxxxxxxxx, xxx xxxx xxxxxxxxxxxx podmienkou xx priznanie xxxxxxxx xxxxxx xxxxx obeti xx xxxxx bodového xxxxxxxxxxx xxxxxxx (xxx xxxx xxxxxxxx xxxxxxxxxxxxx xxxxxxxxxx) xxxxxxxxxxxx xxxxx 100 xxxxx. Xx xxxx sa xxxxxxxx xx osoba xxxxxxxxx xx obeti, xxxxx x xôxxxxxx xxxxxxxxx xxxx xxxxxxx, xx xxxx xxxxxxx, xxxxxxxx xxxxx xxxxxxxx xxxxxxxxx x xxxxxxx v xxxx xxxx smrti x ním xxxx x xxxxxxxxxx, xxxxx xxxxx, xxxxxx zomretý xxxxxxxxxx alebo bol xxxxxxx xxxxxxxxxx xxxxxx.

- Xxxxx č. 209/1997 Zb. x xxxxxxxxxx xxxxxxxxx pomoci xxxxxxx xxxxxxxx xxxxxxxx xxxxxxxxx xxxxxxxxxxx (xxxxxxxx) xxxx 1 xxxx xxx dňa, xxx xx xxxx dozvedela x xxxxx xxôxxxxxxx xxxxxxxx xxxxx. Xx xxxxx xxxx xx xxx xx xxx xxxxxxxxx trestného xxxx, xxxx dokazuje okamžik, xxxx xx xx xxxxx. Xxxxxxxxxxxx spravodlivosti xxxôxx xxxxxxxx xxxxxxxxxx x xxxxxxxxxxx xxxxxxxx xxxxxx, ktoré xx xxxxxxxx xx uplynutí xxxxxxxxxx xxxxxx.

- Xxxxx xx xx xxxxxxx xxxxx, xxxxxx x xôxxxxxx xxxxxxxxx činu xxxxxxx xxxxx xx xxxxxx, poskytne v xxxxxxxxx xxxx 25&xxxx;000.- Xx xxxxx xx xxxxx, xxxxx xxxxxxxxxxx xxxxxxxxxx xxxxxx na xxxxxxx, preukázané náklady xxxxxxx x xxxxxxxx, xxxxxxx x súčet xxxxxxxx xxxxxxx, xxxxx xxxx z xxxxxx xxxxxxx xxxxx xx xxxxxxx; xxxxx xx xxxxxx súčte xxxxxx xxxxxxxxxx sumu 150&xxxx;000.- Xx. Ak xxxx - xx xxx, xxx xxx poskytli xxxxx - xxxxxxxx, xx jej xxxxxxxxx xxxxx je vyššia xxx xx, xxxxx xxxx podkladom xx xxxxxxxxxxx xxxxxx, xx xxx xxxxxxx x xxxxxx xxxxxxxxxx týmto xxxxxxx jej xxxxx xxxxxxxxx pomoc xxäx, x xx až xx xxxxxxxxxx xxxxx 150&xxxx;000.- Xx; xxxxxx xx prihliadne na xxxxxxx, xxxxx už xxxx vyplatené.

- Xxxxxxxx xxxxx, ktorá xx xxxxxxxxxx xx xxxxx, xxxxx x xôxxxxxx xxxxxxxxx xxxx xxxxxxx (xx xxxx rodičom, xxxxxxxx alebo xxxxxxxx xxxxxxxxx a xxxxxxx x xxxx xxxx xxxxx x xxx xxxx v xxxxxxxxxx, xxxxx jej xxxxxxx xxxxxxxxxx, xx xxx xxxxxxx xxxxxxxxxx xxxxxx), xx xxxxxxxx xxxxxxx xxxxx v xxxxxxxxx xxxx 150&xxxx;000.- Kč; xxxxx vo svojom xxxxx xxxxxx presiahnuť xxxx 450&xxxx;000.- Xx, x xx je xxxxx xxxxx viac xxx tri xxxxx, xxxxxxxxxxx xxxxxxx xx xxx každej xxxxx xxxxxxxxx xxxxx.

- Xxxxx č. 209/1997 Zb. xxxxxxxxxxxx xxxxxxxx xxxxxxxxxxx zodpovednosti vykonávateľa xxxxxxxxxx xxxxxxxx, xx xxxxx xxxxäxxxx xxxxxxx xxxxxxx poistenie xxxxxxxxxxxxx. Xxxxx xx potrebné x xxxxxxxxxxxxxx dopravných xxxôx xxxxxx xxxxxxx, xxxxx xxxxxxxx poistenie xxxxxxxxxxxxx, x xxxxxxxxxxx xxxxxxxxx plnenia. Xxx x xxxxxx xxxxxxxxxxx xxxxxxxxx s prihliadnutím xx xxxxxxxxx xxxxxxxxx xxxxxxxxx xx možné xxxxxx xxxxxxxxxxxx xxxxxxxxxxxxxx x xxxxxxxxxxx xxxxxxxx xxxxxx.

- Xxxxxxxxxxx, že xx xxxxxxxxxx xxxxxxxx xxxxxx xxxxxxxx xxxxxxx x xxxxxxxxxx, xx xxxxx odkazujeme pri xxxxxxxxxxxx xxxxxxxxx. Xx xxx xxxxxxxľ neučiní, xxxxxxxxxxxx xxxxxxxxxxxxxx nemôže xxxxxxx xxxxxxx. Xx xxxxxx xxxxxxxxxx x xxxxxxx ani dodatočne xxxxxx, xxxx xxxxxxxxxx xôxx byť dôvodom xxxxxxxxxxxxx xxxxxxxx xxxxxx xxxľx zákona č. 209/1997 Zb. Xx xxxx xxxxxxxxxx xxxxxxx podať xxxx xxxxxxx.

- Xxxxxxxxxxxx, xx xx xxxx xxxxxxxľxxx xxxxxxxxxx xxxxxxx pomoc, xxxxxxxľ je do xxxxxxx xxxxx xxx xxx xxxxxxxxxxx pomoci xxxxxxx xx účet xxxxxxxxxxxx xxxxxxxxxxxxxx sumy, xxxxx xxxxxx ako xxxxxxx xxxxx (od xxxxxxxľx, xxxxxxxxx a xxx.) až do xxxxx poskytnutej xxxxxx. Xxxx xxxxxxxxx nemá, xx mu xxxxx xxxxxxxxxx. Na xxxxxxx xxxxxxxx obete sa xxxxxxxxxxxx xxxxxxxxxxxxxx xôxx x xxxx xxxxx xx xxxxxxxx xxxxxxxxxx xäxxxxxxx doby xxxxx xxxxx xx xxxxxxxx xxxxxxxxxxx xxxxxxxx xxxxxx. Xx xxxxxx xxxxxx xxôxxxxxxx xxxxxxxx xxxxxxxx xxxxx, xxxxxxx xxxxx xxxxx, xxxxx xxx xxôxxxxxx, x xxxxx xxxxxxx, xxxxx obeť xxxxxxx.